Evaluating pregnancy reporting in Siaya Health and Demographic Surveillance System through record linkage with ANC clinics.
Evaluating pregnancy reporting in Siaya Health and Demographic Surveillance System through record linkage with ANC clinics.
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DOI：
10.23889/ijpds.v7i4.1762
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发表时间：
2022
影响因子：
--
通讯作者：
中科院分区：
文献类型：
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健康和人口监测系统（HDSS）是撒哈拉以南非洲人口健康数据的重要来源，但对怀孕、妊娠结局和早期死亡率的记录往往不完整。本研究评估了HDSS妊娠报告的完整性，并确定了可能以不良结局结束的未报告妊娠的预测因素。该分析利用了2018-2020年肯尼亚Siaya的妊娠个体相关HDSS和产前保健（ANC）数据。我们将ANC记录与HDSS妊娠登记和结局交叉核对。尽管在预期分娩日期之后进行了一轮数据收集，但在ANC中观察到的妊娠未在HDSS中报告，这被确定为可能的不良后果，我们调查了这些个体的特征。临床资料用于调查HDSS妊娠登记的时间相对于求医和胎龄，并检查流产和死产的错误分类。从ANC登记中观察到的2475例妊娠分析样本中，46%的妊娠登记在HDSS中，89%的妊娠结局回顾性报告。1%的登记怀孕没有结果，而没有登记的怀孕有10%没有结果。登记妊娠的死产和围产期死亡率高于未登记妊娠的死产和围产期死亡率。在77%的情况下，妇女在HDSS登记怀孕之前获得了ANC。报告的流产中有一半被误诊为死产。我们确定了141例未报告的妊娠，可能以不良结局告终。这类病例在妊娠头三个月去ANC诊所就诊、总体就诊次数较少、艾滋病毒阳性和未正式结合的妇女中更为常见。与ANC诊所的记录联系显示，HDSS的妊娠报告不足，导致围产期死亡率的测量有偏差。将ANC使用记录纳入常规数据收集可以增强HDSS妊娠监测，改善对不良妊娠结局和早期死亡率的监测。
Health and Demographic Surveillance Systems (HDSS) are important sources of population health data in sub-Saharan Africa, but the recording of pregnancies, pregnancy outcomes, and early mortality is often incomplete. This study assessed HDSS pregnancy reporting completeness and identified predictors of unreported pregnancies that likely ended in adverse outcomes. The analysis utilized individually-linked HDSS and antenatal care (ANC) data from Siaya, Kenya for pregnancies in 2018-2020. We cross-checked ANC records with HDSS pregnancy registrations and outcomes. Pregnancies observed in the ANC that were missing reports in the HDSS despite a data collection round following the expected delivery date were identified as likely adverse outcomes, and we investigated the characteristics of such individuals. Clinical data were used to investigate the timing of HDSS pregnancy registration relative to care seeking and gestational age, and examine misclassification of miscarriages and stillbirths. From an analytical sample of 2,475 pregnancies observed in the ANC registers, 46% had pregnancy registrations in the HDSS, and 89% had retrospectively reported pregnancy outcomes. 1% of registered pregnancies were missing outcomes, compared to 10% of those lacking registration. Registered pregnancies had higher rates of stillbirth and perinatal mortality than those lacking registration. In 77% of cases, women accessed ANC prior to registering the pregnancy in the HDSS. Half of reported miscarriages were misclassified stillbirths. We identified 141 unreported pregnancies that likely ended in adverse outcomes. Such cases were more common among those who visited ANC clinics during the first trimester, made fewer overall visits, were HIV-positive, and outside of formal union. Record linkage with ANC clinics revealed pregnancy underreporting in HDSS, resulting in biased measurement of perinatal mortality. Integrating records of ANC usage into routine data collection can augment HDSS pregnancy surveillance and improve monitoring of adverse pregnancy outcomes and early mortality.
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DOI：
10.1111/tmi.12072
发表时间：
2013-04
期刊：
Tropical medicine & international health : TM & IH
影响因子：
--
作者：
Clouse K;Pettifor A;Shearer K;Maskew M;Bassett J;Larson B;Van Rie A;Sanne I;Fox MP
通讯作者：
Fox MP
影响因子：
--
作者：
Rentsch CT;Kabudula CW;Catlett J;Beckles D;Machemba R;Mtenga B;Masilela N;Michael D;Natalis R;Urassa M;Todd J;Zaba B;Reniers G
通讯作者：
Reniers G
影响因子：
4.3
作者：
Kupka R;Kassaye T;Saathoff E;Hertzmark E;Msamanga GI;Fawzi WW
通讯作者：
Fawzi WW
影响因子：
4.5
作者：
Howard, LM;Goss, C;Thornicroft, G
通讯作者：
Thornicroft, G
影响因子：
2.1
作者：
Eilerts H;Prieto JR;Eaton JW;Reniers G
通讯作者：
Reniers G